| NPI | 1407134125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH PATEL Office Manager 215-272-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037847) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |